Which one is better- open rhinoplasty or closed rhinoplasty?

A common question that strikes in almost everyone’s mind related to rhinoplasty surgery is there any difference between open rhinoplasty and closed rhinoplasty.

These are two surgical approaches to correct the deformities of nose. Depending on the changes required to be made on patient’s nose best rhinoplasty surgeons in NYC or elsewhere either chooses open and closed rhinoplasty technique. 

Closed or endonasal rhinoplasty

Closed rhinoplasty (endonasal rhinoplasty) is performed on the encircle half of the nostril lining to make changes in the underlying bone structure.

This is considered best surgical approach because changes are made within the nostril and thus not visible. Moreover, it also features a shorter recovery period as compared to open rhinoplasty.

In this approach, surgeon can easily stretch the skin and make required changes as per the need.

Open or external rhinoplasty

Open rhinoplasty also called a trans-columellar incision, in this process surgeon fold backs the nasal skin using a surgical instrument that help access the nasal structure more appropriately.

The primary benefit of open rhinoplasty is the ease of access to underlying bone and cartilage structure. This is why the accuracy result in reshaping the nose framework is more in it. Often surgeons are not able to achieve desired results with closed technique, which enable to achieve possible results.

Moreover, changes of nasal cartilage distortion and need for revision rhinoplasty for reshaping of the tip cartilages is less, if followed this approach. The approach implies intricate suturing or grafting techniques.

However, the downside of open rhinoplasty is scarring is more likely visible though it. Likewise, scars are visible but relatively small (4-5 mm) and occurs at the narrowest portion of the columella of the nose. Thus, scar is only faintly visible.

Depending upon the patient’s natural anatomy and desired results, surgeon can either choose any of the two approaches. However, many surgeons prefer closed rhinoplasty as good option because of no visibility of scars.

In many cases, however, open technique is chosen because of the improved accuracy and access benefits which overdoes the minor risk of visible scarring. In fact, most rhinoplasty surgeons regard open rhinoplasty the best choice for making changes towards difficult nasal anatomy.

So, if you are considering going for rhinoplasty to correct your nasal deformities then let your surgeon decide which surgical approach will be good for you to bring optimal results.

Important Facts About Reconstructive Male Nose Surgery

Rhinoplasty is an effective cosmetic surgical procedure that helps alter defaults of the nose and provides aesthetically appealing nose.

Similarly, reconstructive rhinoplasty is a method to correct male or women nose deformities caused due to the wrong changes made during the primary rhinoplasty procedure.

Revision rhinoplasty in NYC or elsewhere is more complex than primary rhinoplasty. This is because of the following factors-

• Abundant Scar tissue
• Lack of sources with the previous Plastic Surgeon
• Thin skin and soft tissue envelope that limit the ability to drape back the skin over the revised nose.
• Lack of cartilage and bone
• Presence of foreign sutures or implants at times
• Distorted tissue
• Previous disappointing rhinoplasty results

Revision Rhinoplasty is categorized in two parts-

Minor Revision: Even after best possible rhinoplasty results, there might be, need of some minor touch-ups, which can easily be corrected by undergoing minor revision nose surgery.

Major Revision: Unsatisfactory results obtained through primary surgery may require patient to go for revision rhinoplasty. These are due to surgeon error or lack pre-communication between doctor and patient. Major structural changes must be made during the revision types of cases.

Time taken for primary rhinoplasty surgery is between 1 to 2 hours. Procedure might take long than 2 hours based on patient conditions and changes required to be made.

Likely, revision rhinoplasty procedure takes longer time because of the need to correct the errors made in primary nose job. Techniques implemented during secondary nasal surgery often take much time.

Similarly, rhinoplasty operation is performed on an outpatient setting under accredited and state-licensed surgeon. Anesthesia is provided to patient before starting with the procedure. Likewise, revision rhinoplasty is conducted. There are no changes in the process of the nose job procedure. However, more precautions must be taken by the surgeon while carrying out the surgery. In agreement to it, patient needs to take care of their health.

The recovery process of reconstructive surgery takes time than primary surgical procedure. Patients need to spend one hour or more in the recovery room after surgery, so that health condition can be kept under observation.

After awakening from anesthesia patient will feel some effects like swelling and bruising. A tape or plastic splint would be on the patients nose keep it safe from dust, dirt or any trauma.

Modern Rhinoplasty Techniques are very effective in improving the nose

Nose is the striking feature of everybody’s appearance. It refurbishes the beauty and provides people more refined and stylish look. It is not only for those who want to reshape their outside nose for cosmetic purpose but for those also who have breathing problems.

It was a treatment which in olden days was meant for upper class people only due to its expensive and was only affordable for rich and wealthy people. But with the swift advancement in the health care field modern rhinoplasty is becoming more and more famous due to its effectiveness and inexpensive cost.

How modern rhinoplasty procedure is different from old procedure-

• It is very different from old procedure because now days the effects are not at all drastic as it uses to be in olden days.
• Old procedures often use to result in long lasting complication such as weakening of nose cartilages and bones and the only shape it use to give is classy sky slope which use to make the appearance of nose much small and with the passage of time it use to sink and collapse more and more, which results in breathing difficulties, which are at times life threatening.
• Modern rhinoplasty is far safer and refined because nowadays it is not only for it is used to treat breathing problems and for cosmetic surgery also.
• It provides your nose which suits and goes with your face cut and where as olden days it uses to provide same shape to all who ever use to go for surgery, which sometimes use to look awful and spoils the entire look.
• In modern rhinoplasty a surgeon makes sure that during the procedure least bones and cartilages get damaged which prevents any life threatening future consequences.
• Nowadays rhinoplasty provides more natural look which is very difficult to trace and makes it more attractive and charming.

How to get it done-

• The first thing before going for rhinoplasty is searching an experienced, certified and well qualified surgeon, who can assure you guaranteed results.
• It’s not difficult to find the best rhinoplasty surgeons in a big city like NYC there are humpty dumpty no of surgeons worldwide, which makes it difficult to select best one for you. Don’t be careless be choosy and make sure to check all the prominent names and contact them, fix a meeting and ask all the necessary questions.
• Read books, and go through online articles and once you are satisfied take an appointment and get it done with least possible delay.

Above discussion makes it is clear that modern rhinoplasty techniques are very trusted and beneficial for who are seeking for cosmetic surgery as It have least side effects and offers affordable rates and have a quick heeling power.

Select the best Plastic Surgeon for the best results from rhinoplasty surgery

If you have decided to undergo rhinoplasty surgery for your nose, you need to consider lots of factors. The most important factor is the selection of an expert, because the success of the surgery relies upon skills of the surgeon. Finding the best expert is not easy. A single wrong choice can lead to disastrous results.

Tips to find the best rhinoplasty surgeons in a city like NYC-

To find a surgeon, who you can rely on and feel comfortable, the first thing you needed to do is search online and note down the name of all the leading rhinoplasty experts. Check their reviews and testimonials. Talk to your friends and family members, especially those who have already gone for this surgery before. Select some of the well-known experts, reach them personally one by one, and make the necessary enquiry about the procedure.

• Always remember that the surgery will reshape your nose and will affect your overall personality. A single mistake can spoil your entire appearance, and sometime a little carelessness can create grave situations. So make sure your surgeon have a full understanding of the nasal physiology and the anatomy of nose.
• Ask your surgeon to show the photographs of their clients. No doubt old photographs can be used as a proof, but now days with the help of graphic designing software’s like Photoshop and illustrator anything can be made possible to doge customers. So beware of such things too.
• Mostly, people go for this surgery for cosmetic purpose (to enhance their look aesthetically). Make sure your surgeon has a good understanding of beauty and its essence.
• There are those surgeons also who are only concerned about money, and not with the results. Once the surgery is done they often avoid their patients and sometimes even refuse to recognize their patents. Such kinds of doctors are disgrace to the profession so one should take some time to get all the details before selecting an expert for your surgery.
•  To get the best results, always chose highly qualified surgeon, and always conceder their experience. Only a good experienced surgeon can handle any kind of complication during emergency and get you the best expected results.
• Get your surgery done from those surgeons who can give you satisfactory answers and capable to clear your doubts regarding risk factors and makes you comfortable and anxiety free.

Apart from above discussed points make sure that you select those experts who are board certified because there are times, when things goes wrong and you cannot claim for insurance. Moreover, wrong doctor can spoil your entire look and you cannot claim for that. So make a correct choice and cherish the new enhanced look.

Some important points that will help you to recover fast after rhinoplasty

The rhinoplasty is a surgery in which surgery is done a nose. There are people, who like to give a shape to their nose or it might be the case that they feel some kind of hindrance, while breathing and they get a nose surgery (rhinoplasty) for the same. A surgeon will create a facial proportionate according to the face, cutting the nasal skin and soft tissues, which are in excess on the nose.

However, after completion of the surgery, there are necessary steps, which need to be taken by a patient. There are some DOs and don’ts, which need to be strictly followed. Below are the few points, which can help a patient in a big way-

• Do not go for brisk walking at all. A walk at a fast pace can be done after few weeks or so.
• Say no to alcohol and smoking for four to six weeks and even avoid caffeine for few weeks for your good.
• Avoid going outside for few weeks. The minute dust particles might become a problem for you.
• There might be some experience of pain after surgery. A regular medication can be taken, only after discussion from your surgeon.
• The rigorous exercise at a Gymnasium is a big no; make sure you do not do it for another couple of weeks or more. Instead of going to a gymnasium, a stroll would be a good option. 
• Maintaining a regular diet can be fruitful and can help in recovering at a fast pace. Moreover, adding fruits and milk products can be helpful as well. 
• Taking suggestions from your surgeon will help in a big way. Make sure you are in contact with your surgeon.

These are some of the points, which need to follow by a patient. Apart from the above, self motivation classes are also available. These classes are of great help to all those patients, who are bed stricken or home stricken for few weeks or so.

The counseling sessions are of great help too. However, individual’s undergone rhinoplasty need to be in regular contact with the surgeons. The best rhinoplasty surgeons in NYC at regular intervals conduct sessions, before and after the surgery of individuals, in which they share relevant information, which can help in recovering a fast pace. 

How to take care of your nose after rhinoplasty?

Improved medical facilities made it possible to get major or minor changes in facial features. These changes are done by surgeon with different types of cosmetic surgeries. Rhinoplasty is one of these several types of cosmetic surgeries. This treatment is done for medical and cosmetic reasons.

Some people do not like the shape of their nose while some others suffer from breathing problems due to birth defects or accidents etc. Whichever, the reason is, people get rhinoplasty done to reshape their nose. However, it is necessary to take proper care of nose after rhinoplasty. If you are about to go under knife, then you must know about after care.

• To reduce bruising, you can take the help of ice packs. They are very helpful in reducing bruising and swelling. Store few ice packs in your refrigerator before handed. However, do not get dressing or splint wet.
• After surgery, try to keep your head elevated for first few days.
• Staying away from direct sunlight is also advisable by surgeons. If it is necessary to go out in sun, then you must use sunscreen with enough SPF.
• Follow healthy and light diet plan for few weeks. Try to avoid those food products that need chewing. Increase the amount of fruits and fluids in your diet.
• Take all your prescribed medicines on time. Medicines not only help in recovery but also reduce the level of pain. Take prescribed vitamins or other supplement too.
• Do not sniff or blow your nose for first few days since it can damage nose.
• Try to avoid heavy activities or bending over etc. Heavy exercises, sports or lifting etc., can cause complications. Give your body some rest for few days.
• Quit smoking and drinking alcohol for few weeks. These bad habits can affect recovery process or cause bleeding. It is also necessary to quit smoking and alcohol before rhinoplasty because they can cause complications during surgery.
• Avoid hitting, rubbing or bumping your nose.
• During surgery, you will be given anesthesia etc. It is not advisable to drive or go home by yourself. It is important that you get someone to get you home safely. It will be better if a family member or friend is there to help you for first few days.
• In case of vomiting, nausea, or fever etc., immediately contact your doctor.

One can also get proper instructions from their surgeon. To get desired results, it is important to choose best rhinoplasty surgeon in NYC or any city. It is also necessary to follow all instructions to avoid complications.

Immediate post-operative rhinoplasty instructions to be followed!

Pre and post-operative rhinoplasty instructions are must to be followed by patients, if wanting optimal results from the surgery. Following are few instructions that are to be adhered after the procedure:

Immediately after the procedure

• Packing: Patients who have undergone nose job for enhancing their appearance and rectify their breathing problem, a small loose packing will be placed just into the nostrils. Patients must not touch or remove it, till the time surgeon does not assist it to do.
• Nasal Bandage: A small bandage under the tip of the nose is placed. Oozing is common to happen, but patient must not think about it as with time it will stop. In case not, then one must visit surgeon.
• Dressing: A small silicone splint is placed by rhinoplasty specialist in NYC or elsewhere. It is a protector and helps to keep the newly sculpted nasal bones onto their position. One needs to make sure that neither the splint is removed nor it should get wet.

First week after surgery

• Apply ice:  Swelling and bruising is common to happen. Cold moist compression is an effective method to minimize swelling and bruising.
• Puffiness: Puffiness is pronounced on the second morning after a facial plastic surgery. However, there is no cause for concern to it, as it is normal and expected.
• Discoloration: Yet minimal chances to occur, but there are patients who might face it. Therefore, to rectify this problem recommended post-operative medications must be taken carefully.
• Nasal Stuffiness: It occurs during the week after surgery. The application of ointment twice a day will lubricate the nasal, thus reducing stuffiness. In accordance to it, one must not blow their nose or use nose drops without surgeon recommendations.
• Bleeding: In rare cases, bleeding occurs. First aid instructions to be followed are: Lie down and elevate head, use cold compressions on the nose, use a piece of cotton with nose drops or Visine, and place it on the bleeding area.
• Pain: Discomfort does occur but for a limited period. Mild headache is common to happen. Prescribed pain tablets are to be taken.
• Sleeping: One must sleep with the head elevated. Two pillows must be used. This helps decrease the amount of swelling and lessens the chances of bleeding.
• Exercise: Limited, instead no exercise should be done during the first week. Exercise not just implies yoga or gym activities, but also strenuous work that might cause bleeding.
• Avoid blood thinners: Do not use Aspirin as it promotes which can eventual cause bleedings.